Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.73 / $3,923.40 / $9,868.00	Facility		$602.73	$3,923.40	$9,868.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $427.94 / $507.59 / $1,086.71	Professional		$427.94	$507.59	$1,086.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,248.00 / $5,196.00 / $11,909.00	Facility		$3,248.00	$5,196.00	$11,909.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $363.60 / $475.30 / $1,231.21	Professional		$363.60	$475.30	$1,231.21
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $651.33 / $1,990.00 / $8,917.50	Facility		$651.33	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $651.33 / $651.33 / $651.33	Professional		$651.33	$651.33	$651.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $536.27 / $536.27 / $536.27	Facility		$536.27	$536.27	$536.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $473.09 / $819.76 / $1,711.25	Professional		$473.09	$819.76	$1,711.25
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $282.00 / $502.50 / $1,236.67	Facility		$282.00	$502.50	$1,236.67
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $513.19 / $719.90 / $1,060.79	Professional		$513.19	$719.90	$1,060.79
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $440.69 / $440.69 / $440.69	Facility		$440.69	$440.69	$440.69
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $386.37 / $635.72 / $1,002.31	Professional		$386.37	$635.72	$1,002.31
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $652.42 / $652.42 / $840.55	Professional		$652.42	$652.42	$840.55
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $536.27 / $555.00 / $597.00	Facility		$536.27	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $480.35 / $776.59 / $1,711.25	Professional		$480.35	$776.59	$1,711.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,768.00 / $3,961.00 / $8,312.00	Facility		$1,768.00	$3,961.00	$8,312.00
United Facility/Professional Professional Modifier Low / Median / High Price $412.82 / $614.67 / $1,360.95	Professional		$412.82	$614.67	$1,360.95
Univera Facility/Professional Facility Modifier Low / Median / High Price $568.19 / $568.19 / $2,741.76	Facility		$568.19	$568.19	$2,741.76
Univera Facility/Professional Professional Modifier Low / Median / High Price $440.69 / $635.72 / $1,201.07	Professional		$440.69	$635.72	$1,201.07